| NPI | 1053730325 |
|---|---|
| Former Name | TINY DUNSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN233192) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN233192) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2022-02-23 |