| NPI | 1457569816 |
|---|---|
| Former Name | PATRICIA ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK R0055069) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: OK RN50069) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2015-03-05 |