| NPI | 1225535669 |
|---|---|
| Former Name | ERICA MICHELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology Pediatric Ophthalmology and Strabismus Specialist (Licence: TX T7742) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: IL 125.073590) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2022-08-15 |