NPI | 1336411404 |
---|---|
Former Name | SUMMER YVONNE LAMCZYK |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2012000667) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.009360) |
Enumeration Date | 2012-02-03 |
Last Update Date | 2012-06-21 |