| NPI | 1881103083 |
|---|---|
| Former Name | JORDYN BROSMER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3011566) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 904486) |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-01-04 |