| NPI | 1194060665 |
|---|---|
| Former Name | JEREE C SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OK 6874) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207Q00000X Family Medicine (Licence: IL 125071378) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2022-07-21 |