| NPI | 1447206891 |
|---|---|
| Former Name | STACIA L JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 4625) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 41176) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2022-03-28 |