| NPI | 1700113461 |
|---|---|
| Former Name | MELAN JAVONNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367A00000X Advanced Practice Midwife (Licence: TN 14364) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 14364) |
| Enumeration Date | 2009-11-17 |
| Last Update Date | 2022-06-16 |