| NPI | 1689851438 |
|---|---|
| Former Name | NICHOLE ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: GA 002226) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: HI MD13689) |
| 208000000X Pediatrics (Licence: HI MD13689) | |
| Enumeration Date | 2008-01-23 |
| Last Update Date | 2022-01-06 |