| NPI | 1053500819 |
|---|---|
| Former Name | JA-MAE V. SUTHERLIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IN 71009178A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3005251) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: KY 3005251) | |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2019-08-05 |