NPI | 1699381707 |
---|---|
Former Name | JAMIE KAYE BOND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209021162) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: IL 209.021162) |
Enumeration Date | 2020-09-23 |
Last Update Date | 2024-03-05 |