| NPI | 1093978892 |
|---|---|
| Former Name | SHELLY RAE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: IL 041-273477) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2008-10-23 |