| NPI | 1760889091 |
|---|---|
| Former Name | SUSAN SUMNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MA 150309) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MA 150309) |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |