NPI | 1326357708 |
---|---|
Former Name | JODI NICOLE PAULSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: IA F-112029) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: IA 112029) |
Enumeration Date | 2010-10-01 |
Last Update Date | 2023-02-01 |