NPI | 1437729324 |
---|---|
Former Name | CHRISTINA JORDAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 0029056) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017536) |
Enumeration Date | 2021-07-01 |
Last Update Date | 2024-06-26 |