| NPI | 1497930515 |
|---|---|
| Former Name | JAMIE TAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ 25MP00312500) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 012161-1) |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2015-01-08 |