| NPI | 1740481431 |
|---|---|
| Former Name | ANGELA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 2018-00436) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 258681) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 092762) | |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2019-10-14 |