NPI | 1487991949 |
---|---|
Other Name | JENNIFER MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK 0112313) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013000125) |
Enumeration Date | 2013-01-03 |
Last Update Date | 2014-05-06 |