NPI | 1225794043 |
---|---|
Former Name | JASMINE L WEBER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 114009) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 89007) |
Enumeration Date | 2021-11-16 |
Last Update Date | 2024-11-05 |