NPI | 1467022335 |
---|---|
Professional Name | ROBERT MILES SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0997084-NP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CO 1652682) |
Enumeration Date | 2021-07-01 |
Last Update Date | 2022-04-13 |