| NPI | 1235906637 |
|---|---|
| Former Name | HEATHER ANNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023047989) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |