| NPI | 1740532803 |
|---|---|
| Former Name | JAMIE LYNN WILHELM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G-121723) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |