| NPI | 1306199575 |
|---|---|
| Other Name | MONICA MARY JORDAN-TIDWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse, Community Health (Licence: OR 086000069RN) |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |