| NPI | 1508866435 |
|---|---|
| Former Name | SANDRA M. JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: KY 43511) |
| Additional Taxonomies | 208600000X Surgery (Licence: PA MD067075L) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2010-08-11 |