| NPI | 1407025976 |
|---|---|
| Former Name | CARMEN NICOLE SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN159666) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-03-03 |