NPI | 1043235526 |
---|---|
Former Name | JOHNNIE MAE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL APRN1801642) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2019-07-02 |