| NPI | 1457334468 |
|---|---|
| Former Name | ANGELA MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WI 44207-20) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: WI 44207020) |
| 208000000X Pediatrics (Licence: IA 42431) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-07-03 |