| NPI | 1942704044 |
|---|---|
| Former Name | NICOLE MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9369385) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: FL APRN9369385) |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2020-10-28 |