| NPI | 1841310968 |
|---|---|
| Former Name | TERESA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 146904) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 209-006077) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2012-03-23 |