| NPI | 1639345754 |
|---|---|
| Former Name | SAMANTHA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: MD C0003780) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2021-06-23 |