| NPI | 1225279714 |
|---|---|
| Former Name | RANDI YVONNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP010221) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA SP010221) |
| 163WG0600X Registered Nurse, Gerontology (Licence: PA SP010221) | |
| 163WH0200X Registered Nurse, Home Health (Licence: PA SP010221) | |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2016-07-29 |