| NPI | 1700994712 |
|---|---|
| Former Name | CARRIE M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 4331) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 146852) |
| 363L00000X Nurse Practitioner (Licence: MN R 143309-0) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: IN 28193028A) | |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2022-03-03 |