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 |