NPI | 1144634486 |
---|---|
Other Name | CRYSTAL LYNNA SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 18380) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18380) |
Enumeration Date | 2014-06-15 |
Last Update Date | 2021-11-01 |