| NPI | 1215177522 |
|---|---|
| Former Name | LAURA RACHEL JONES |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: GA 005443) |
| Enumeration Date | 2009-02-26 |
| Last Update Date | 2023-04-20 |