| NPI | 1952573438 |
|---|---|
| Former Name | CYNTHIA M NOTTINGHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 200350076NP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 200350076NP) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2021-02-05 |