| NPI | 1538701248 |
|---|---|
| Former Name | CHARITY ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024178148) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 104792) |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2023-03-07 |