NPI | 1447645007 |
---|---|
Former Name | JORDAN HARTSHORN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: WV 3299) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: WV 3299) |
Enumeration Date | 2015-03-31 |
Last Update Date | 2020-07-21 |