NPI | 1699106658 |
---|---|
Former Name | SONYA AMELIA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NY 555267) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: NY 555267) |
Enumeration Date | 2013-12-02 |
Last Update Date | 2014-01-30 |