NPI | 1639449549 |
---|---|
Former Name | JAIMIE L ZELKIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 990321) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CO APN.0990321-NP) |
363LF0000X Nurse Practitioner, Family (Licence: CA 95006458) | |
Enumeration Date | 2012-01-09 |
Last Update Date | 2020-09-11 |