NPI | 1770679565 |
---|---|
Former Name | CHRISTINE DAWN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OH COA.07389-NP) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: OH NP07389) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2023-03-07 |