| NPI | 1780833749 |
|---|---|
| Former Name | JAMIE MARIE WIMSATT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA1146) |
| Additional Taxonomies | 363AS0400X Physician Assistant Surgical (Licence: KY TC045) |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2016-10-18 |