| NPI | 1093219339 |
|---|---|
| Former Name | CHARLOTTE M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: GA 91215) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: GA 9942) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2022-07-01 |