| NPI | 1114504016 |
|---|---|
| Former Name | KATHERINE DAWN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014369) |
| Enumeration Date | 2021-03-26 |
| Last Update Date | 2022-08-19 |