NPI | 1427437888 |
---|---|
Former Name | SUMMER STARR MCNEELY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN141776) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA RN141776) |
Enumeration Date | 2015-05-19 |
Last Update Date | 2018-02-26 |