NPI | 1770963977 |
---|---|
Former Name | LINDSAY HIATT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 202010177NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201505278RN) |
Enumeration Date | 2015-06-02 |
Last Update Date | 2022-01-14 |