NPI | 1821615758 |
---|---|
Former Name | KAREN MARIE SUMNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024179573) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024179573) |
Enumeration Date | 2020-06-26 |
Last Update Date | 2023-08-11 |