| NPI | 1598908121 |
|---|---|
| Former Name | TOBIE SUZANNE SIMMONS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH 287491) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WV 56404) |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2022-04-11 |