NPI | 1407203425 |
---|---|
Former Name | KATHERINE ANTOINETTE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: AR A004652) |
Additional Taxonomies | 363LG0600X Nurse Practitioner Gerontology (Licence: TX AP131089) |
364SA2200X Clinical Nurse Specialist Adult Health (Licence: AR A004652) | |
Enumeration Date | 2016-05-19 |
Last Update Date | 2022-02-04 |