| NPI | 1487147369 |
|---|---|
| Former Name | DONNA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2023041356) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024176194) |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2024-05-31 |