| NPI | 1417360637 |
|---|---|
| Other Name | JUSTINE M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner Gerontology (Licence: CO 0993274) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CO 0993274) |
| 363L00000X Nurse Practitioner (Licence: CO 0993274) | |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2024-02-28 |