| NPI | 1518485671 |
|---|---|
| Former Name | EDIE LASHELL SMITH, GRANTHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AK 243112) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AL 1-113448) |
| 363L00000X Nurse Practitioner (Licence: AL 1-113448) | |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2025-08-26 |