| NPI | 1184305955 |
|---|---|
| Former Name | JORDAN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71014372A) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 28212079A) |
| Enumeration Date | 2023-07-26 |
| Last Update Date | 2026-05-06 |