| NPI | 1720527658 |
|---|---|
| Former Name | LAUREN MAE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017003714) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 77565) |
| Enumeration Date | 2017-02-12 |
| Last Update Date | 2019-03-12 |