| NPI | 1023323342 |
|---|---|
| Former Name | STEPHANIE SUZANNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1049834) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA RN218375) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-105754) | |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2025-08-28 |