NPI | 1366751059 |
---|---|
Former Name | VERONICA LYNN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R-175893-7) |
Additional Taxonomies | 208M00000X Hospitalist (Licence: MN 1294) |
Enumeration Date | 2010-09-29 |
Last Update Date | 2022-07-15 |