| NPI | 1669810149 |
|---|---|
| Former Name | JORDAN RAY PREISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TN 65621) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN18804) |
| 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME130417) | |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2023-12-12 |