NPI | 1023104395 |
---|---|
Former Name | VEETA MISHAE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: TX P6744) |
Additional Taxonomies | 286500000X Military Hospital (Licence: IN 01061223A) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-01-09 |