NPI | 1942325923 |
---|---|
Other Name | SUSSY LYNN SMITH-KING |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: WI 66716) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NE 22686) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2021-12-01 |