NPI | 1134207616 |
---|---|
Former Name | OLIVIA GENE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LN0000X Nurse Practitioner, Neonatal (Licence: OK 72422) |
Additional Taxonomies | 163WN0002X Registered Nurse, Neonatal Intensive Care (Licence: OK R0072422) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2018-08-13 |