NPI | 1669747184 |
---|---|
Former Name | KARI MICHELLE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: TN DO2811) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: MS 24404) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: TN 2811) | |
Enumeration Date | 2012-03-16 |
Last Update Date | 2019-07-15 |