NPI | 1902849326 |
---|---|
Former Name | DANA A SMYTH FRANKLIN THIENEMANN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ RN044296) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP0205) |
Enumeration Date | 2006-06-14 |
Last Update Date | 2007-07-08 |