| NPI | 1417583642 |
|---|---|
| Former Name | JENNIFER E GORDON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 10016379) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145410) |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2025-02-06 |