| NPI | 1578930004 |
|---|---|
| Former Name | REBECCA LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023038177) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2013004208) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MO 1001040872) | |
| Enumeration Date | 2015-09-01 |
| Last Update Date | 2025-03-28 |