NPI | 1558480749 |
---|---|
Former Name | DANA MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP30006273) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN00145561) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2010-04-14 |