NPI | 1992995088 |
---|---|
Former Name | ANDREA L SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MO 2003012794) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2003012794) |
Enumeration Date | 2007-07-26 |
Last Update Date | 2020-10-28 |