NPI | 1831406933 |
---|---|
Former Name | ANGELIA N SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NC 2015-00328) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: TX BP10037973) |
Enumeration Date | 2010-09-10 |
Last Update Date | 2023-08-15 |