NPI | 1881942076 |
---|---|
Former Name | KALEENA SMART |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA RN618051) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN618051) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2024-10-17 |