| NPI | 1558146597 |
|---|---|
| Other Name | JODI LYN OTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 6065166-8900) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: UT 6065166-4405) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-10-03 |