| NPI | 1629432216 |
|---|---|
| Professional Name | MONA CLAIRVIL FONTAINE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN177893) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: GA RN177893) |
| 363LP2300X Nurse Practitioner Primary Care (Licence: GA RN177893) | |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |