| 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 |