NPI | 1790456507 |
---|---|
Former Name | HANNAH SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA006622) |
Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: PA MA064943) |
363A00000X Physician Assistant (Licence: FL PA9114811) | |
Enumeration Date | 2021-09-22 |
Last Update Date | 2024-09-25 |