| NPI | 1770716474 |
|---|---|
| Former Name | JAMIE A SELKING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 28155722A) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28155722A) |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71003032A) | |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2022-02-23 |