| NPI | 1043788219 |
|---|---|
| Former Name | BOBBIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner Acute Care (Licence: MD R172563) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R172563) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2021-08-16 |