| NPI | 1225762461 |
|---|---|
| Former Name | STEPHANIE BARRETT SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024184944) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2023-02-16 |