| NPI | 1306716303 |
|---|---|
| Former Name | ALYSSA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1233901) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX F06250839) |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2026-08-24 |