NPI | 1689328924 |
---|---|
Former Name | ARIELLE CHRISTINE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: DC NP500002960) |
Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: VA 0024184391) |
Enumeration Date | 2022-02-07 |
Last Update Date | 2022-07-08 |