NPI | 1982077681 |
---|---|
Former Name | JORDAN ASHLEY TROTTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 20586) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 203169) |
Enumeration Date | 2015-11-04 |
Last Update Date | 2022-11-09 |