| NPI | 1700860707 |
|---|---|
| Former Name | ERICA NICOLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MA 1022361) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: MI 4301074536) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036117285) | |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2025-05-09 |