| NPI | 1508601808 |
|---|---|
| Other Name | ELLIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 175T00000X Peer Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2024-12-02 |