| NPI | 1154728251 |
|---|---|
| Former Name | STEPHANIE ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KY 3012415) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: KY 1128589) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2024-03-08 |