| NPI | 1740601525 |
|---|---|
| Former Name | JAMIE LYNN ELLIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: AZ 007284) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.064533) |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: OR Do188703) | |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2022-01-25 |