| NPI | 1851866859 |
|---|---|
| Former Name | JODI JANELL HIBBS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201709233NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201393988RN) |
| Enumeration Date | 2018-10-06 |
| Last Update Date | 2018-10-06 |