NPI | 1982038766 |
---|---|
Former Name | JAMIE K GILSTRAP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 76100) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 76100) |
163W00000X Registered Nurse (Licence: KS 90125) | |
Enumeration Date | 2013-08-28 |
Last Update Date | 2024-06-26 |