NPI | 1851696025 |
---|---|
Other Name | KATRINA HAZEN SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-044739) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-044739) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2024-01-31 |