| NPI | 1699126243 |
|---|---|
| Former Name | JAMIE LEE CULLUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CO APN.0995039-NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7017-33) |
| Enumeration Date | 2016-06-24 |
| Last Update Date | 2024-01-03 |