| NPI | 1043519747 |
|---|---|
| Former Name | LISA F SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61447760) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 644612) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2023-11-06 |