NPI | 1821359845 |
---|---|
Former Name | CHRISTINA MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: GA 76206) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 076206) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2012-06-06 |
Last Update Date | 2020-05-12 |