| NPI | 1104290840 |
|---|---|
| Former Name | BRITTANY CHARLENE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: WV 81557) |
| Enumeration Date | 2015-11-18 |
| Last Update Date | 2018-03-17 |