| 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 | 163W00000X Registered Nurse (Licence: TN 144878) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5009273) | |
| Enumeration Date | 2010-12-14 |
| Last Update Date | 2020-08-21 |