NPI | 1629248927 |
---|---|
Former Name | SHARON ANNE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA 20A9668) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: TN 4216) |
Enumeration Date | 2008-03-03 |
Last Update Date | 2022-03-23 |