| NPI | 1699782995 |
|---|---|
| Former Name | AURELIA KING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN186148) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-039052) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2022-09-27 |