| NPI | 1841836566 |
|---|---|
| Former Name | ELIZABETH M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024181056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142597) |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2023-09-21 |