NPI | 1720004559 |
---|---|
Former Name | DARCY M SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WV 2049) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: OH 34.009130) |
Enumeration Date | 2006-07-14 |
Last Update Date | 2022-09-15 |