NPI | 1881117067 |
---|---|
Former Name | ERINN MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704286989) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704286989) |
Enumeration Date | 2017-07-19 |
Last Update Date | 2018-12-26 |