| NPI | 1245071638 |
|---|---|
| Former Name | KATHERINE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0011507) |
| Enumeration Date | 2024-06-01 |
| Last Update Date | 2026-05-23 |