| NPI | 1023685716 |
|---|---|
| Former Name | JORDAN ESPERSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5014893) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 2020040466) |
| Enumeration Date | 2021-06-10 |
| Last Update Date | 2024-03-27 |