| NPI | 1598409021 |
|---|---|
| Former Name | HAILEY LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: IA 121657) |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical (Licence: IA 1202593) |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2024-02-20 |