| NPI | 1891554291 |
|---|---|
| Former Name | JAMIE LYNETTE BAGLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2026-03-23 |