NPI | 1215112982 |
---|---|
Former Name | LONI JOOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 012024) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: UT 7892402) |
Enumeration Date | 2007-12-31 |
Last Update Date | 2011-04-08 |