| NPI | 1780742320 |
|---|---|
| Former Name | SONIA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME107662) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: GA 64810) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2024-03-05 |