| NPI | 1588094726 |
|---|---|
| Former Name | HOLLY DEANNA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NC 5006616) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 204971) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2019-07-03 |