NPI | 1255604013 |
---|---|
Former Name | JAYME L STONE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NC 339008) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 339008) |
246ZC0007X Specialist/Technologist, Other, Surgical Assistant | |
Enumeration Date | 2012-02-09 |
Last Update Date | 2024-12-22 |