NPI | 1285937250 |
---|---|
Former Name | JAN SUMMER MICHELLE OSBORNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 15771) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009273) |
163W00000X Registered Nurse (Licence: TN 144878) | |
Enumeration Date | 2010-12-14 |
Last Update Date | 2025-10-09 |