NPI | 1184092272 |
---|---|
Former Name | ADRIENNE DIANE SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 825719) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 168226) |
Enumeration Date | 2015-09-08 |
Last Update Date | 2020-01-17 |