| NPI | 1548264047 |
|---|---|
| Former Name | SANDRA JONES DUBOSE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN103532) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 129) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2024-03-19 |