| NPI | 1205123361 |
|---|---|
| Former Name | MARY ELLEN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: TN 3444) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: VA 0102204478) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2021-07-29 |