| NPI | 1982911558 |
|---|---|
| Former Name | TIMESHA J. WIMS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601010148) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: AZ 4682) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2025-09-08 |