| NPI | 1508239054 |
|---|---|
| Former Name | GWEN ELIZABETH SIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5008162) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2024-04-03 |