| NPI | 1801472360 |
|---|---|
| Former Name | MARIAH ELIZABETH JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NC 302731) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NC 302731) |
| Enumeration Date | 2021-03-23 |
| Last Update Date | 2021-03-24 |