NPI | 1336590678 |
---|---|
Former Name | RAIN JOELLE SUMNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 3010727) |
Additional Taxonomies | 208000000X Pediatrics (Licence: KY 3010727) |
363L00000X Nurse Practitioner (Licence: KY 3010727) | |
363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3010727) | |
Enumeration Date | 2016-06-28 |
Last Update Date | 2021-02-18 |