NPI | 1093065823 |
---|---|
Former Name | LORI SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN 0980) |
Additional Taxonomies | 363LN0000X Nurse Practitioner, Neonatal (Licence: MN R128112-9) |
Enumeration Date | 2012-09-19 |
Last Update Date | 2025-10-07 |