| NPI | 1205484219 |
|---|---|
| Former Name | SARAH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 78950) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 78950) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2024-04-02 |