NPI | 1629620877 |
---|---|
Former Name | CAROLINE LEIGH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-140641) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-140641) |
Enumeration Date | 2019-07-09 |
Last Update Date | 2024-02-01 |