NPI | 1134870702 |
---|---|
Former Name | CHRISTIAN GABRIELLE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-157292) |
Enumeration Date | 2022-01-14 |
Last Update Date | 2022-04-04 |