NPI | 1558315929 |
---|---|
Former Name | ERIN MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 2795033APNP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OH COA 05807 NP) |
Enumeration Date | 2006-05-20 |
Last Update Date | 2012-10-30 |