NPI | 1205907672 |
---|---|
Former Name | CHRISTINE LYNN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP 9270727) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH NP 09137) |
Enumeration Date | 2006-11-10 |
Last Update Date | 2020-05-14 |