NPI | 1215101480 |
---|---|
Former Name | KELLY MAUREEN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine (Licence: OH 35099047) |
Enumeration Date | 2008-04-17 |
Last Update Date | 2016-09-07 |