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 |