| NPI | 1922291871 |
|---|---|
| Former Name | GEORGIA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: OH PN.067056) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: OH PN. 067056) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2007-08-23 |