NPI | 1083824452 |
---|---|
Other Name | TENEAL SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AR A004873) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AR R80679) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2016-08-15 |