| NPI | 1386168433 |
|---|---|
| Former Name | MEMORY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP9466258) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 902081) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 9466258) | |
| Enumeration Date | 2017-07-31 |
| Last Update Date | 2024-02-16 |