| NPI | 1265846745 |
|---|---|
| Former Name | JESSIE KLAUDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60495839) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA RN60222054) |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2024-02-16 |