NPI | 1043637101 |
---|---|
Former Name | RACHEL SIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30806) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 672777) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: TN 258158) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402470) | |
Enumeration Date | 2014-03-26 |
Last Update Date | 2023-08-02 |