NPI | 1205097391 |
---|---|
Former Name | AISOSIOYA A SIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: MD D0076489) |
Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: MD D0076489) |
Enumeration Date | 2008-06-20 |
Last Update Date | 2019-04-02 |