| NPI | 1558605469 |
|---|---|
| Former Name | MITZI PEPPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN149347) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN149347) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2020-10-27 |