| NPI | 1760032494 |
|---|---|
| Former Name | REBECCA CAMPBELL SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: GA RN215973) |
| Additional Taxonomies | 315D00000X Hospice, Inpatient (Licence: GA RN215973) |
| Enumeration Date | 2019-09-15 |
| Last Update Date | 2025-10-09 |