NPI | 1356904155 |
---|---|
Former Name | SYDNEY E JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 71871) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2019-04-17 |
Last Update Date | 2022-08-08 |