NPI | 1508046772 |
---|---|
Former Name | PATRICIA MARIE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 53021234408) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2010-03-08 |