NPI | 1750990404 |
---|---|
Former Name | KARA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine (Licence: VA 0102208539) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 0383R) |
Enumeration Date | 2020-07-29 |
Last Update Date | 2024-06-21 |