NPI | 1700291382 |
---|---|
Former Name | CHARLETTE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: DC RN1015483) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: MD R177959) |
Enumeration Date | 2014-06-23 |
Last Update Date | 2020-02-25 |