| NPI | 1063188613 |
|---|---|
| Former Name | AMBER DAWN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2021033427) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-80507-052) |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2024-10-09 |