NPI | 1215177522 |
---|---|
Former Name | LAURA RACHEL JONES |
Entity Type | Individual |
Gender | Female |
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 |