NPI | 1750707535 |
---|---|
Former Name | BETSY ANN EL SUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: KY 3008533) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KY 3008533) |
363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3008533) | |
363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71016244A) | |
Enumeration Date | 2014-03-17 |
Last Update Date | 2025-01-24 |