| NPI | 1578686754 |
|---|---|
| Former Name | TERESA M JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AZ 42902) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: AZ 42902) |
| 208000000X Pediatrics (Licence: PA MT189001) | |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2024-10-03 |