| NPI | 1811932601 |
|---|---|
| Former Name | MARILYN ANN MCDERMOTT AND SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OK R0073894) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2010-01-27 |