| NPI | 1093119208 |
|---|---|
| Former Name | KARINA JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA PA62231) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-05247) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2023-09-22 |