NPI | 1124306097 |
---|---|
Other Name | VENETIA GAIL SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 16104) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 147887) |
Enumeration Date | 2011-07-26 |
Last Update Date | 2021-09-15 |