| NPI | 1962090340 |
|---|---|
| Former Name | FAIRYN MARISSA JONES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: AR 214846) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 859470) |
| Enumeration Date | 2021-01-01 |
| Last Update Date | 2021-06-02 |