| NPI | 1790737880 |
|---|---|
| Former Name | JODI BECKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IA C086972) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA C086972) |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2017-08-21 |