NPI | 1164686291 |
---|---|
Former Name | ANNE SIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MN 5227) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AK 338) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2023-11-29 |