| NPI | 1588924880 |
|---|---|
| Other Name | JAMILLAH MOHAMED KINGWANDE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX RN377435) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN377435) |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2019-05-08 |