NPI | 1154972875 |
---|---|
Former Name | SARA ELIZABETH JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009707A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28151040A) |
Enumeration Date | 2019-09-24 |
Last Update Date | 2023-09-19 |