NPI | 1023312493 |
---|---|
Former Name | TERRI S JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: NJ #MP00241000) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA055705) |
Enumeration Date | 2010-12-29 |
Last Update Date | 2023-03-02 |