| NPI | 1376050781 |
|---|---|
| Former Name | SAVANNAH LEIGH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: OH 57246026) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: OH 57246026) |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2022-06-15 |