| NPI | 1821785585 |
|---|---|
| Former Name | HALLIE TAYLOR SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: AL L.5990R) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2023-10-06 |