| NPI | 1003946724 |
|---|---|
| Former Name | MARCY SUE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5013722) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA TP006989B) |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 5013722) | |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2023-11-28 |