| NPI | 1871834382 |
|---|---|
| Former Name | DALLAS RENAE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: OR DO195999) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: IL 036139497) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2024-01-31 |