| NPI | 1972763654 |
|---|---|
| Former Name | ASHLEY LAINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: TN 52685) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 207R00000X Internal Medicine (Licence: CA A110543) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2020-07-22 |