| NPI | 1710313085 |
|---|---|
| Other Name | ANGELA MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 11548) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 772287) |
| Enumeration Date | 2013-09-18 |
| Last Update Date | 2024-11-06 |