NPI | 1265177380 |
---|---|
Former Name | ALLISON J SIMMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: WI 13064) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 253410-30) |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-08-11 |