NPI | 1932364148 |
---|---|
Former Name | JAMIE LYNN MEYER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 25384) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 5843) |
Enumeration Date | 2008-07-28 |
Last Update Date | 2016-07-01 |