| NPI | 1598421448 |
|---|---|
| Other Name | LETISHA MUKISA JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2327811) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 2327811) |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2025-04-29 |