NPI | 1467109900 |
---|---|
Other Name | SALLY SUMMERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 205087) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 31415) |
Enumeration Date | 2022-03-04 |
Last Update Date | 2024-08-13 |