| NPI | 1104552959 |
|---|---|
| Former Name | SYDNEY MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2023026115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2014032351) |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2023-07-04 |