| NPI | 1114687829 |
|---|---|
| Former Name | TAMMY MICHAELA SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024182778) |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology (Licence: VA 0024182778) |
| Enumeration Date | 2021-12-21 |
| Last Update Date | 2024-08-30 |