| NPI | 1508915356 |
|---|---|
| Former Name | GRACE JAMACK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: DE L8-0000109) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-05-24 |