| NPI | 1669875993 |
|---|---|
| Former Name | JILLIAN C SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60849416) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60840002) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2024-07-25 |