NPI | 1851534986 |
---|---|
Former Name | SIRI SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006622) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006622) |
363LA2200X Nurse Practitioner, Adult Health (Licence: SC 3723) | |
Enumeration Date | 2009-04-20 |
Last Update Date | 2020-11-02 |