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 |