| NPI | 1750688206 |
|---|---|
| Former Name | JENNIFER LEE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 71004860A) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: ND R36067) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024169097) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2021-11-02 |