NPI | 1912506551 |
---|---|
Former Name | ANNA SIMPSON DUKART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 28345) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TN 28435) |
Enumeration Date | 2020-10-24 |
Last Update Date | 2020-12-01 |