| NPI | 1285056911 |
|---|---|
| Former Name | KENYA DENETTE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95000220) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 578715) |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2014-04-08 |