| NPI | 1407203425 |
|---|---|
| Former Name | KATHERINE ANTOINETTE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A004652) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP131089) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: AR A004652) | |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2022-02-04 |