| NPI | 1710969183 |
|---|---|
| Former Name | ALICIA DAWN JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207N00000X Dermatology (Licence: MO 2007013543) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: OH 35084094) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2012-07-27 |