| NPI | 1356829766 |
|---|---|
| Former Name | MCCALL ASHLEY RUDOLPH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN223212) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN223212) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2020-06-23 |