| NPI | 1851799415 |
|---|---|
| Former Name | JODI GOSSELIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: PA RN699277) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 694125) |
| 163W00000X Registered Nurse (Licence: OK 114221) | |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2018-03-17 |