| NPI | 1588770374 |
|---|---|
| Former Name | JAMIE LOUISE EILERT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 45958) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 13-76053-032) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-11-26 |