| NPI | 1306232459 |
|---|---|
| Former Name | MARI JORDON UNDERWOOD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 20514) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AR A004375) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2022-07-21 |