| NPI | 1891220208 |
|---|---|
| Former Name | JORDYN O'DONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TX T5929) |
| Additional Taxonomies | 208D00000X General Practice (Licence: VA 0101267100) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-04-23 |
| Last Update Date | 2022-11-23 |