NPI | 1821519430 |
---|---|
Former Name | SUMMER WARREN CARGILL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2024028755) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-213351) |
363LF0000X Nurse Practitioner, Family (Licence: TX AP134323) | |
Enumeration Date | 2017-07-05 |
Last Update Date | 2024-10-15 |