NPI | 1710665260 |
---|---|
Former Name | LINDSEY SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027727) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA MS8225941) |
Enumeration Date | 2023-07-06 |
Last Update Date | 2024-02-27 |