| NPI | 1457074304 |
|---|---|
| Former Name | JAMIE LARAE DEBOER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SD CP002526) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP002526) |
| Enumeration Date | 2022-09-26 |
| Last Update Date | 2022-11-08 |