NPI | 1295482719 |
---|---|
Former Name | SOMMER RENEE LONG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1075174) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: TX 830380) |
Enumeration Date | 2022-03-04 |
Last Update Date | 2024-07-30 |