NPI | 1578549333 |
---|---|
Former Name | MARTHA JANE SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP7115) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: AZ RN053744) |
163W00000X Registered Nurse (Licence: AZ RN053744) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: AZ AP0273) | |
Enumeration Date | 2005-12-22 |
Last Update Date | 2021-09-16 |