| NPI | 1609968783 |
|---|---|
| Former Name | SIMONE WENDY TELFORD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 004693) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 53276) |
| 363A00000X Physician Assistant (Licence: NH 1956) | |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2026-04-10 |