NPI | 1083693295 |
---|---|
Former Name | SHARON DIXIE JONAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WG0000X Registered Nurse, General Practice (Licence: OR 200741637rn) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: UT 353858-3102) |
163WG0000X Registered Nurse, General Practice (Licence: OH RN-301406) | |
Enumeration Date | 2006-01-16 |
Last Update Date | 2007-08-03 |