| NPI | 1619003761 |
|---|---|
| Former Name | JIMMICA WATKINS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95028957) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 796326) |
| 164X00000X Licensed Vocational Nurse (Licence: CA VN199452) | |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2024-02-05 |