| NPI | 1023654662 |
|---|---|
| Former Name | ANNA E SIMONICH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 9757) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 220513) |
| 363L00000X Nurse Practitioner (Licence: MN 10769) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 9757-33) | |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-09-28 |