| NPI | 1437439718 |
|---|---|
| Former Name | JENNIFER SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 22093) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60240613) |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2014-04-30 |