NPI | 1477709426 |
---|---|
Former Name | JENNIFER M. SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 15974) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: CA 15974) |
Enumeration Date | 2008-08-11 |
Last Update Date | 2021-12-21 |