NPI | 1427728336 |
---|---|
Former Name | MENSIONA NICOLE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: NJ 26NJ01144100) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NJ01144100) |
Enumeration Date | 2021-09-14 |
Last Update Date | 2024-04-11 |