Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YP0228X | Pediatric Otolaryngology | S6310 | TX |
NPI | 1518379676 |
---|---|
Provider Name | Danielle Patrice Smith |
First Address | Washington, DC 20009-3518 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2014 |
Last Update Date | 10/05/2020 |