NPI | 1538127824 |
---|---|
Former Name | STACEY JONAS-KEELING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: DC RN1011360) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: DC RN1011360) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2014-12-17 |