| NPI | 1437179546 |
|---|---|
| Former Name | SHANA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30006938) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ap30006938) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2025-04-19 |