| NPI | 1740219419 |
|---|---|
| Former Name | MARY DE RAISMES SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CA A66212) |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-03-10 |