NPI | 1659755098 |
---|---|
Former Name | PERIHAN SIMPSON BRANCHE/SHIELDS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 203102) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 203102) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 203102) | |
Enumeration Date | 2015-07-15 |
Last Update Date | 2022-08-02 |