| NPI | 1013680172 |
|---|---|
| Former Name | STEPHANIE ANN GARRETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN219744) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN219744) |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2022-08-03 |