NPI | 1396401238 |
---|---|
Former Name | TENNILLE SIMMS-ALLEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 347092) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1127039) |
Enumeration Date | 2021-11-15 |
Last Update Date | 2024-11-18 |