| NPI | 1659503092 |
|---|---|
| Former Name | JAMIE MARIE BRANCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA APO5948) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA RN065346) |
| Enumeration Date | 2009-08-19 |
| Last Update Date | 2018-06-20 |