| NPI | 1790033801 |
|---|---|
| Former Name | CHARNETTA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 81510) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 266234) |
| Enumeration Date | 2012-08-21 |
| Last Update Date | 2020-11-05 |