NPI | 1376616417 |
---|---|
Former Name | CHRISTINA M JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 1536) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: WI 1536) |
Enumeration Date | 2006-11-16 |
Last Update Date | 2024-01-31 |