| NPI | 1881836005 |
|---|---|
| Former Name | JORDANA LAUREN WINN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60279199) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 208000000X Pediatrics (Licence: WA ML60093774) | |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2012-10-08 |