| NPI | 1164772240 |
|---|---|
| Former Name | JAMIE E OTTAWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: VA 0024177620) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL ARNP 9323648) |
| Enumeration Date | 2012-09-14 |
| Last Update Date | 2023-08-01 |