NPI | 1265131023 |
---|---|
Former Name | MEGAN LEIGH SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71014226A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28154980A) |
Enumeration Date | 2023-03-01 |
Last Update Date | 2023-11-06 |