NPI | 1154501997 |
---|---|
Former Name | DAWN A SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY 430040) |
Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY 430040) |
Enumeration Date | 2007-11-09 |
Last Update Date | 2023-07-05 |