NPI | 1003266388 |
---|---|
Former Name | HANNAH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2019011365) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NM CNP-02955) |
Enumeration Date | 2016-06-16 |
Last Update Date | 2020-11-10 |