| NPI | 1518220995 |
|---|---|
| Former Name | JAMIE LEE RANCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP012166) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN596183) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2020-08-26 |