NPI | 1932892197 |
---|---|
Former Name | JORDAN FRISBIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11026749) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9514235) |
363L00000X Nurse Practitioner (Licence: FL 11026749) | |
Enumeration Date | 2023-06-01 |
Last Update Date | 2024-03-27 |