| NPI | 1841842192 |
|---|---|
| Former Name | KATHY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: MI 4704271880) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704271880) |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-01-20 |