NPI | 1154536001 |
---|---|
Former Name | KATHERINE MARY SMID |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004597) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL 1698942) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2019-11-07 |