NPI | 1851736631 |
---|---|
Former Name | ELIZABETH KABERLE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: PA MD461216) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA MT203498) |
Enumeration Date | 2013-05-07 |
Last Update Date | 2022-02-15 |