| NPI | 1053449504 |
|---|---|
| Former Name | JIAJOYCE RENEE CONWAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP009284) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R149858) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2024-10-23 |