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 |