| NPI | 1033547666 |
|---|---|
| Former Name | LAVERNE ZETA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: CA 19932) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |