| NPI | 1265549851 |
|---|---|
| Former Name | BOBBIE SULLIVAN ABERNATHY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-058971) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-058971) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2021-01-19 |