NPI | 1457727679 |
---|---|
Former Name | CATHERINE CUMMINGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 19695) |
Additional Taxonomies | 207N00000X Dermatology (Licence: SC 19695) |
Enumeration Date | 2015-08-12 |
Last Update Date | 2022-03-12 |