NPI | 1376050781 |
---|---|
Former Name | SAVANNAH LEIGH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: MN 80555) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57246026) |
207R00000X Internal Medicine (Licence: MN 80555) | |
208000000X Pediatrics (Licence: OH 57246026) | |
208000000X Pediatrics (Licence: MN 80555) | |
Enumeration Date | 2018-01-08 |
Last Update Date | 2025-09-02 |