| NPI | 1134552078 |
|---|---|
| Former Name | SYLVIA JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: MS 22598) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OK 17704) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2014-04-16 |