| NPI | 1144506635 |
|---|---|
| Former Name | STEVIE S. SMOOT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21979) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 21979) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2024-04-10 |