| NPI | 1396205258 |
|---|---|
| Former Name | AMANDA CLAIRE JACKSON-POWELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: NE 35553) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 9276) |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2026-01-21 |