| NPI | 1891428157 |
|---|---|
| Former Name | HEATHER SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: NY 718792) |
| Enumeration Date | 2022-07-05 |
| Last Update Date | 2022-07-05 |