NPI | 1295201010 |
---|---|
Former Name | LEAH LANA SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP139383) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5014766) |
Enumeration Date | 2018-10-18 |
Last Update Date | 2022-10-04 |