| NPI | 1053302778 |
|---|---|
| Other Name | JODI ALETHA FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 163WP0200X Registered Nurse Pediatrics (Licence: WA RN00120002) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP30003667) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2007-07-09 |