NPI | 1285611616 |
---|---|
Former Name | DEBRA K SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD R026046) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SD SDCNP0309) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2023-03-07 |