| NPI | 1356971329 |
|---|---|
| Former Name | LAURA SIMS HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11004719) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3017725) |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2023-04-11 |