| NPI | 1538701321 |
|---|---|
| Former Name | RAVEN BARTLETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95011126) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA APRN-NP711759) |
| Enumeration Date | 2019-10-13 |
| Last Update Date | 2026-03-25 |