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 |