NPI | 1144502410 |
---|---|
Former Name | KIAWANA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP120739) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 729290) |
Enumeration Date | 2011-09-13 |
Last Update Date | 2024-01-03 |