NPI | 1851929806 |
---|---|
Former Name | LOREE BETH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 208600000X Surgery (Licence: AL 43597) |
Enumeration Date | 2020-03-27 |
Last Update Date | 2025-06-20 |