| NPI | 1720349475 |
|---|---|
| Former Name | JAMIE LOUISE DILLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WV 2754) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WV 2754) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2022-03-06 |