NPI | 1639691413 |
---|---|
Other Name | GINGER ANN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IN 71007321A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IN 28185048A) |
Enumeration Date | 2017-07-12 |
Last Update Date | 2023-09-26 |