| NPI | 1710289087 |
|---|---|
| Former Name | KENETA LACHELLE SUMLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3013872) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2023-08-02 |