| NPI | 1881888121 |
|---|---|
| Former Name | ANNUQUETTE K SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 157701) |
| Additional Taxonomies | 246RM2200X Technician, Pathology, Medical Laboratory (Licence: TN 20127) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |