| NPI | 1770036550 |
|---|---|
| Former Name | JORDAN SNOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 21193) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 189055) |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2016-09-02 |