| NPI | 1689696007 |
|---|---|
| Former Name | MARY JO SIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WI 510-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 66695-030) |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2013-06-06 |