| NPI | 1184010043 |
|---|---|
| Former Name | VANESSA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM MD2017-0846) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NM RS2015-0329) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2019-08-26 |