| NPI | 1245763408 |
|---|---|
| Former Name | CORA BETH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OH APRN.CNP0037039) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN364721) |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2026-01-14 |