| NPI | 1669720041 |
|---|---|
| Former Name | ANGELIA L. SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 6697-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 669733) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 6697-33) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 669733) | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2024-06-28 |