| NPI | 1376104802 |
|---|---|
| Former Name | JACQUELINE SARAH HALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN233311) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN233311) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-09-26 |