| NPI | 1467633743 |
|---|---|
| Former Name | STACEY A CUMMINGS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN268193) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN268193) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2019-02-13 |