NPI | 1083163380 |
---|---|
Former Name | SHELBY L SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA NP95029546) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: HI APRN-2386) |
363LA2100X Nurse Practitioner, Acute Care (Licence: DC RN1042752) | |
Enumeration Date | 2016-09-27 |
Last Update Date | 2025-01-22 |