| NPI | 1295400273 |
|---|---|
| Former Name | CHARLENE SIMMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse Addiction (Substance Use Disorder) (Licence: MA LN90877) |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2024-08-22 |