| NPI | 1043993124 |
|---|---|
| Former Name | JESSICA S SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71014163A) |
| Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: IN 71014163A) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-29 |