| NPI | 1467424481 |
|---|---|
| Former Name | SONYA MICKENS JACKSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208M00000X Hospitalist (Licence: FL ME91167) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL ME91167) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2023-08-17 |