| NPI | 1942707013 |
|---|---|
| Former Name | CHRISTINE MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 118787) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: KY 1068564) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2019-08-25 |