NPI | 1770773798 |
---|---|
Former Name | VICKI ANN SMYTH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 743414) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ME R022807) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2009-03-03 |