| NPI | 1487157798 |
|---|---|
| Former Name | JAIME LYN STAFFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2020-08-06 |