| NPI | 1730579525 |
|---|---|
| Former Name | DIANE LYNN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71005606A) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: IN 28124384A) |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2023-10-12 |