| NPI | 1295720605 |
|---|---|
| Former Name | FELISA L SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: TN MD 39995) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: TN 39995) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2008-01-25 |