NPI | 1396187290 |
---|---|
Former Name | JORDAN GEER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F403397) |
Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: NY 673600) |
Enumeration Date | 2013-07-22 |
Last Update Date | 2021-03-08 |