NPI | 1962027102 |
---|---|
Former Name | SARAH JESSICA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 27661) |
Enumeration Date | 2020-06-13 |
Last Update Date | 2020-08-05 |