NPI | 1477869626 |
---|---|
Former Name | KELLY L SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NJ 26NR13377600) |
Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: PA RN565907) |
367500000X Nurse Anesthetist, Certified Registered (Licence: DE L10036327) | |
Enumeration Date | 2010-08-26 |
Last Update Date | 2022-09-09 |