| NPI | 1780461905 |
|---|---|
| Former Name | MARY RACHEL SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: GA RN265405) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: GA rn265405) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2024-10-21 |