NPI | 1548347198 |
---|---|
Former Name | REBECCA RAGAN SIMMONS & BROOKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 3005020) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2012-03-08 |