NPI | 1851851927 |
---|---|
Former Name | JOYCE MARIE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036159436) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125075180) |
Enumeration Date | 2019-03-23 |
Last Update Date | 2022-09-06 |