| NPI | 1013387331 |
|---|---|
| Former Name | SCARLETT ANN BURGAMY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA RN204241) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN204241) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2022-06-21 |