| NPI | 1225687957 |
|---|---|
| Former Name | MAYA IMANI JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11005868) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11005868) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2022-03-10 |