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 |