| NPI | 1528713328 |
|---|---|
| Former Name | DESIREE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 32018) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 194301) |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2026-05-26 |