| NPI | 1922624667 |
|---|---|
| Former Name | JACLYN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 955332) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 106707) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2025-04-08 |