NPI | 1871821728 |
---|---|
Former Name | PAMELA ESTELLE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NC 2018-02826) |
Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: RI LP03780) |
207RH0002X Internal Medicine, Hospice and Palliative Medicine (Licence: RI LP03780) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2009-12-03 |
Last Update Date | 2023-03-20 |