| NPI | 1073024287 |
|---|---|
| Former Name | THERESA ANNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: TN RN0000094285) |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2017-10-14 |