| NPI | 1710058839 |
|---|---|
| Former Name | JAMIE L MACKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60340233) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00139973) |
| Enumeration Date | 2006-11-11 |
| Last Update Date | 2014-11-06 |