| NPI | 1629566922 |
|---|---|
| Former Name | JADE ASHLEY FREEMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CO DR.0073259) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: UT 11414337-1205) |
| 208000000X Pediatrics (Licence: NC 2021-01448) | |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2024-06-21 |