| NPI | 1841958568 |
|---|---|
| Former Name | COLLEEN PATRICIA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: NJ 26NN08368100) |
| Enumeration Date | 2021-11-30 |
| Last Update Date | 2021-11-30 |