Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NP0017X | Pediatric Chiropractor | 072779 | IA |
NPI | 1104227537 |
---|---|
Provider Name | Dr. Erica Smothers |
First Address | Hiawatha, IA 52233-7900 |
Second Address | Hiawatha, IA 52233-7900 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/09/2014 |
Last Update Date | 04/09/2014 |