NPI | 1861889487 |
---|---|
Former Name | JORDAN LEIGH DOCKERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: TX R7578) |
Additional Taxonomies | 208000000X Pediatrics (Licence: TX BP10053053) |
Enumeration Date | 2015-04-21 |
Last Update Date | 2021-03-12 |