NPI | 1679557987 |
---|---|
Former Name | JENNIFER CATHERINE OSTRANDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MA RN2299302) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NC 300264) |
2080A0000X Pediatrics, Adolescent Medicine (Licence: NC 300264) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: NC 300264) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: DC RN1008418) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60023099) | |
Enumeration Date | 2005-11-30 |
Last Update Date | 2015-10-29 |