| NPI | 1558198853 |
|---|---|
| Former Name | MICHELLE ELAINE SIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-124064) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2024-09-19 |