| NPI | 1912379165 |
|---|---|
| Former Name | JARAH MIKAYLE NORDIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015476) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 7997485-4405) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2022-07-21 |