NPI | 1053302778 |
---|---|
Other Name | JODI ALETHA FREEMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
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 |