NPI | 1376874990 |
---|---|
Former Name | MARIA CELESTE SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: PA SP010620) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ00274200) |
Enumeration Date | 2010-01-21 |
Last Update Date | 2018-04-12 |