NPI | 1518622323 |
---|---|
Former Name | JODI K HARTMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 307440) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 113896) |
Enumeration Date | 2021-11-05 |
Last Update Date | 2024-08-09 |