NPI | 1538439419 |
---|---|
Former Name | GREER MONIQUE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: MD R205014) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP0642) |
Enumeration Date | 2012-01-09 |
Last Update Date | 2013-11-22 |