| NPI | 1013235902 |
|---|---|
| Former Name | JENNIFER ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024168723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001205407) |
| Enumeration Date | 2010-05-17 |
| Last Update Date | 2024-05-30 |