| NPI | 1235592189 |
|---|---|
| Former Name | JORDAN LYNNE SPIDLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: AL MD.44458) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AL MD.44458) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2022-09-22 |