NPI | 1760840425 |
---|---|
Former Name | WHITNEY SIMONS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 219616) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OK 63826) |
Enumeration Date | 2016-02-09 |
Last Update Date | 2024-07-30 |