NPI | 1740855774 |
---|---|
Former Name | CAMERON SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: MS 906330) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MS 910530) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2023-11-28 |