NPI | 1821362385 |
---|---|
Former Name | LAUREN RENEE SIMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R881219) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS R881219) |
Enumeration Date | 2012-03-01 |
Last Update Date | 2015-06-29 |