| NPI | 1861875114 |
|---|---|
| Former Name | PENELOPE JOSEPHINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F340253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 686090-1) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2018-12-10 |