| NPI | 1174392658 |
|---|---|
| Former Name | SUNNI MCDERMAID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: UT 8635969-4405) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: UT 8635969-8900) |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |