Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 95003404 | CA |
NPI | 1003275330 |
---|---|
Provider Name | Erin Maureen Smith |
First Address | San Francisco, CA 94103-1513 |
Second Address | San Francisco, CA 94103-1513 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2016 |
Last Update Date | 15/02/2016 |