| NPI | 1730384454 |
|---|---|
| Former Name | TINA ELAINE SIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA RN130768) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN130768) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2018-08-07 |