| NPI | 1851929806 | 
|---|---|
| Former Name | LOREE BETH SMITH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program | 
| Additional Taxonomies | 208600000X Surgery (Licence: AL 43597) | 
| Enumeration Date | 2020-03-27 | 
| Last Update Date | 2025-06-20 |