NPI | 1134579030 |
---|---|
Former Name | LINDSAY SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MO 2018031093) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: IL 125069418) |
Enumeration Date | 2016-06-21 |
Last Update Date | 2019-07-22 |