| NPI | 1962504670 |
|---|---|
| Former Name | CARLYNN H. SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: WI 50335) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036-115459) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2013-10-01 |