| NPI | 1821432006 |
|---|---|
| Former Name | JENNIFER EILEEN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: MI 4301103312) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301103312) | |
| Enumeration Date | 2013-04-18 |
| Last Update Date | 2021-10-06 |