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, Psych/Mental Health (Licence: CO 0993274) |
363L00000X Nurse Practitioner (Licence: CO 0993274) | |
Enumeration Date | 2014-06-05 |
Last Update Date | 2024-02-28 |