| NPI | 1750707535 |
|---|---|
| Former Name | BETSY ANN EL SUM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008533) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3008533) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2017-03-02 |