NPI | 1578597407 |
---|---|
Former Name | PEGGY VEE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 466) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: MN R0743053) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2023-05-09 |