| NPI | 1649381344 |
|---|---|
| Former Name | LISA BERTINA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MD C0009929) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN PA0000001158) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2025-06-24 |