| NPI | 1114003357 |
|---|---|
| Former Name | STELLA MAE SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171000000X Military Health Care Provider (Licence: TX RRT273898) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: TX 273898) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-07-08 |