NPI | 1043279466 |
---|---|
Former Name | PAMELA SUE SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP1663702) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: FL ARNP1663702) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2013-06-12 |