| NPI | 1659722478 |
|---|---|
| Former Name | JORDAN ELIZABETH FRITCH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: SD 13406) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NE 7760) |
| 208000000X Pediatrics (Licence: SD 13406) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-08-01 |