| NPI | 1750667259 |
|---|---|
| Former Name | TRACY LYN SUMMERER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2264530) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 099887) |
| 163W00000X Registered Nurse (Licence: MA 2264530) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CT 4852) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MA RN2264530) | |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2014-10-30 |