NPI | 1457922973 |
---|---|
Former Name | DANA GAIL SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 221055) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: LA 221055) |
Enumeration Date | 2021-07-06 |
Last Update Date | 2024-01-18 |