NPI | 1417377441 |
---|---|
Former Name | SARA CATHERINE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207L00000X Anesthesiology (Licence: TN 57486) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: SC 101635084) |
Enumeration Date | 2014-04-17 |
Last Update Date | 2018-10-03 |