| NPI | 1467856773 |
|---|---|
| Former Name | JAMIE WADE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71005184A) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 71005184A) |
| Enumeration Date | 2014-10-15 |
| Last Update Date | 2024-01-05 |