NPI | 1386286250 |
---|---|
Former Name | HALEY PATRICIA JUTRAS SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: NC 5022013) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP143216) |
363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP143216) | |
363LP0222X Nurse Practitioner, Pediatrics, Critical Care (Licence: TX AP143216) | |
Enumeration Date | 2019-10-12 |
Last Update Date | 2025-07-17 |