| NPI | 1497266704 |
|---|---|
| Former Name | HEATHER LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135391) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61150324) |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2021-05-24 |