Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 0101033846 | VA |
NPI | 1225460900 |
---|---|
Provider Name | Dr. Sherilynn Hummel |
First Address | Burgess, VA 22432-0639 |
Second Address | Burgess, VA 22432-0639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2013 |
Last Update Date | 05/08/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B94872 | (02) | MD |