| NPI | 1881733541 |
|---|---|
| Former Name | JEAN ELLEN WARDRIP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: IN 01055638A) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: IN 01055638A) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-05-05 |