NPI | 1922617240 |
---|---|
Former Name | MEGAN LEIGH SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TN 27798) |
Additional Taxonomies | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TN 27798) |
Enumeration Date | 2020-07-23 |
Last Update Date | 2021-02-23 |