NPI | 1225451925 |
---|---|
Former Name | LEAH ASHLEY SIMMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 18140) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN 18140) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2022-07-28 |