NPI | 1164003992 |
---|---|
Former Name | HANNAH JOY SIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: MI 4301510788) |
Additional Taxonomies | 208000000X Pediatrics (Licence: OH 57.251589) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2021-04-14 |
Last Update Date | 2025-09-09 |