| NPI | 1144936634 |
|---|---|
| Former Name | TAYLER SHEA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MT NUR-APRN-LIC-216720) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1107088) |
| Enumeration Date | 2023-01-27 |
| Last Update Date | 2023-11-16 |