| NPI | 1629607320 |
|---|---|
| Former Name | JORDAN RENEE BAUGHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OK 7286) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2021-12-01 |