| NPI | 1821500141 |
|---|---|
| Former Name | SAMANTHA LEIGH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5011643) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL 9362642) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2020-01-24 |