| NPI | 1659705077 |
|---|---|
| Former Name | LEAH OTTINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R200411) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95003321) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2020-10-15 |