| NPI | 1164916680 |
|---|---|
| Former Name | JORIE ELIZABETH SULLIVAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: OH 35.141964) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2025-09-16 |