| NPI | 1568765774 |
|---|---|
| Former Name | REBECCA NICOLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN-NP256397) |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2025-10-27 |