NPI | 1588028732 |
---|---|
Former Name | KAYIA LOLITA JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MA 282581) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D85316) |
Enumeration Date | 2016-04-13 |
Last Update Date | 2021-02-22 |