| NPI | 1194107631 |
|---|---|
| Former Name | AUDRA ELIZABETH ERNEST |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN266940) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-122815) |
| Enumeration Date | 2015-06-21 |
| Last Update Date | 2019-02-21 |