| NPI | 1780176974 |
|---|---|
| Former Name | JAMIE L PRUITT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: AZ 011198) |
| Additional Taxonomies | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: MI 5101026100) |
| Enumeration Date | 2018-06-04 |
| Last Update Date | 2024-09-16 |