| NPI | 1487647087 |
|---|---|
| Former Name | PAULA R SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: WI 63368-20) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301093114) |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2015-01-02 |