NPI | 1649576687 |
---|---|
Former Name | ERIN C JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO PA.0003562) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: DE C5-0000722) |
Enumeration Date | 2011-02-09 |
Last Update Date | 2015-05-13 |