| NPI | 1558077198 |
|---|---|
| Former Name | MAKITA LEANN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NM 71566) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM 71566) |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2023-09-19 |