NPI | 1366974578 |
---|---|
Former Name | TAYLOR M SIMMERMAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: IL 036156290) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 3576) |
Enumeration Date | 2017-03-28 |
Last Update Date | 2024-01-09 |