| NPI | 1831322965 |
|---|---|
| Former Name | CORPIA CHANTLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 036-129521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 125.056055) |
| 207R00000X Internal Medicine (Licence: IN 01072345A) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2020-05-28 |