| NPI | 1679291892 |
|---|---|
| Former Name | REBECCA LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA 229585) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: LA 229585) |
| 163W00000X Registered Nurse (Licence: LA 154380) | |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2025-01-13 |