| NPI | 1225030117 |
|---|---|
| Former Name | TERESA M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 149531) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 16181-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 619816) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OK 614734) | |
| 363LF0000X Nurse Practitioner, Family (Licence: MO 149531) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2024-12-12 |