| NPI | 1710084546 |
|---|---|
| Former Name | TERESA LEE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084V0102X Psychiatry & Neurology, Vascular Neurology (Licence: MI 4301081150) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301081150) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-05-16 |