NPI | 1902079650 |
---|---|
Former Name | ANDRIA MARIE JONES |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2085N0904X (Licence: CO DR.0062315) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: CO DR.0062315) |
390200000X Student in an Organized Health Care Education/Training Program (Licence: VT 060-0003643) | |
2085P0229X Radiology, Pediatric Radiology (Licence: CO DR.0062315) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NE 27934) | |
Enumeration Date | 2008-04-02 |
Last Update Date | 2025-09-02 |