NPI | 1821188210 |
---|---|
Former Name | CHRISTIE LANCASTER SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: MI 4301090942) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: FL TRN6690) |
Enumeration Date | 2006-10-13 |
Last Update Date | 2007-07-25 |