| NPI | 1013468644 |
|---|---|
| Former Name | JODIE PERMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD CP001149) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2020-10-20 |