| NPI | 1982120382 |
|---|---|
| Former Name | JENNIFER S. SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993303-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.0205303) |
| Enumeration Date | 2017-08-17 |
| Last Update Date | 2017-08-17 |