NPI | 1902226566 |
---|---|
Former Name | MAYA CHELSEA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9326294) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9326294) |
Enumeration Date | 2014-04-22 |
Last Update Date | 2016-02-16 |