NPI | 1770031593 |
---|---|
Former Name | SUMMER D ABTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 155319) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 155319) |
363L00000X Nurse Practitioner (Licence: MO 2016034608) | |
Enumeration Date | 2016-09-21 |
Last Update Date | 2019-09-09 |