NPI | 1396064549 |
---|---|
Other Name | JENNA NOEL SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WI 5320-33) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5320-33) |
Enumeration Date | 2010-05-27 |
Last Update Date | 2022-05-25 |