NPI | 1396372173 |
---|---|
Former Name | CHELSEA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D96210) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: GA 12152) |
Enumeration Date | 2020-03-24 |
Last Update Date | 2023-04-27 |