| NPI | 1609143346 |
|---|---|
| Former Name | MICAH ASHLEY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: KY 3009096) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 810537) |
| Enumeration Date | 2011-11-23 |
| Last Update Date | 2023-11-27 |