| NPI | 1629127774 |
|---|---|
| Former Name | TERRI GRAHAM SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD00030161) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WA MD00030161) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2016-05-05 |