| NPI | 1275005449 |
|---|---|
| Former Name | VIVIENE VERONA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 176138) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: FL APRN11020332) |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2024-04-17 |