| NPI | 1275886806 |
|---|---|
| Former Name | ELISABETH ANNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA 9600) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA 240780) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-03-25 |