| NPI | 1477129104 |
|---|---|
| Former Name | PAIGE HUSTON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN271922) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN271922) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2022-01-14 |