| NPI | 1326467838 |
|---|---|
| Former Name | ABIGAIL SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NJ 25MA11286500) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0101259227) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2014-04-11 |
| Last Update Date | 2021-11-04 |