| NPI | 1235336744 |
|---|---|
| Former Name | DENISE CORAL SMYTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: PA MD456007) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: WV 23331) |
| 207Q00000X Family Medicine (Licence: WV 23331) | |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2021-03-24 |