| NPI | 1528432689 |
|---|---|
| Former Name | ABBEY ELIZABETH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3009948) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 1124958) |
| Enumeration Date | 2015-11-30 |
| Last Update Date | 2019-01-07 |