NPI | 1548619166 |
---|---|
Former Name | JENNIFER SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA 010670) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-06-04 |
Last Update Date | 2024-03-23 |