| NPI | 1013193366 |
|---|---|
| Former Name | MARLA RENEE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 11011118) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-101693) |
| 363LF0000X Nurse Practitioner, Family (Licence: OK R0122813) | |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1059230) | |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2024-10-03 |