NPI | 1053919563 |
---|---|
Former Name | ALEXIS JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: AR PA-943) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2020-10-16 |
Last Update Date | 2025-02-10 |