| NPI | 1669583761 |
|---|---|
| Former Name | NIKKI M. SIMONSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: AZ 3902) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: AZ 7213) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |