| NPI | 1376233635 |
|---|---|
| Former Name | ELIZABETH MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: SC 11558) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: SC 11548) |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2026-08-12 |