| NPI | 1912424094 |
|---|---|
| Professional Name | CICELY A ROSS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN177619) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA RN177619) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2021-03-31 |