| 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 |