NPI | 1710389788 |
---|---|
Other Name | AMANDA LAVERNA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: NC 104665) |
Enumeration Date | 2014-09-22 |
Last Update Date | 2015-01-14 |