| NPI | 1124557715 |
|---|---|
| Former Name | MARGIE LOUISE ECCLESTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202100467NP-PP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201707942) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60889600) | |
| Enumeration Date | 2017-06-07 |
| Last Update Date | 2024-08-19 |