NPI | 1285056242 |
---|---|
Former Name | LINDY J JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP013368) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN581714) |
163W00000X Registered Nurse (Licence: MI 4704247248) | |
Enumeration Date | 2014-01-10 |
Last Update Date | 2022-06-13 |