| NPI | 1588788285 |
|---|---|
| Former Name | JO CORRINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: 200188401) |
| 247200000X Technician, Other | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2017-01-18 |