| NPI | 1447851852 |
|---|---|
| Former Name | JAMIE MICHALK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1012426) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 857069) |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2022-03-29 |