NPI | 1497985386 |
---|---|
Former Name | MELISSA C JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 208000000X Pediatrics (Licence: AZ 50460) |
Additional Taxonomies | 208000000X Pediatrics (Licence: MI 5315042173) |
208000000X Pediatrics (Licence: OH 35.099424) | |
Enumeration Date | 2009-07-25 |
Last Update Date | 2024-07-16 |