| NPI | 1013369255 |
|---|---|
| Former Name | MEGAN MAUREEN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0992382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0182920) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |