NPI | 1952413916 |
---|---|
Former Name | ALEXANDRIA C. SMOOTS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP113307) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 667006) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2023-09-28 |