| NPI | 1346482361 |
|---|---|
| Former Name | JORDANA ELAINE ELLWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CO DR.0051327) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO CO51327) | |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2015-06-01 |