| NPI | 1255771259 |
|---|---|
| Former Name | MEGAN MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: WY 37427.1503) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO 0990779) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0990779) | |
| 163W00000X Registered Nurse (Licence: CO RN.0120052) | |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-05-27 |