NPI | 1619125689 |
---|---|
Former Name | CHRISTINE JOY SMUCKER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201603909NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 139367-030) |
163W00000X Registered Nurse (Licence: OR 097006506) | |
363LA2200X Nurse Practitioner, Adult Health (Licence: WI 2297-033) | |
Enumeration Date | 2008-09-03 |
Last Update Date | 2021-08-29 |