NPI | 1871080267 |
---|---|
Former Name | DAWN SIMPSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 215785) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NV APRN002902) |
363LF0000X Nurse Practitioner, Family (Licence: MO 2018006691) | |
Enumeration Date | 2018-04-20 |
Last Update Date | 2024-02-20 |