| NPI | 1699917930 |
|---|---|
| Former Name | NATOSHA DONYELLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: OH 35.137583) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: VA 0101251189) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2022-05-27 |