| NPI | 1528682804 |
|---|---|
| Former Name | ALI JORDAN ANDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-149238) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2023-12-07 |