| NPI | 1851385439 |
|---|---|
| Professional Name | JUDY SHARON JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 207N00000X Dermatology (Licence: TX H4974) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: NC 39832) |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2007-07-08 |