NPI | 1124364260 |
---|---|
Former Name | REGINA DARLENE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN295931L) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NJ 26NR14993300) |
367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NJ00419300) | |
Enumeration Date | 2012-12-18 |
Last Update Date | 2018-04-13 |