| NPI | 1790087922 |
|---|---|
| Former Name | SHIRLEY A SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: KS 75119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 148051) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2010028162) | |
| Enumeration Date | 2010-11-19 |
| Last Update Date | 2021-08-17 |