| NPI | 1912454455 |
|---|---|
| Former Name | KATELYN C SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704373177) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner Primary Care (Licence: NC 5008868) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: IN 71013513A) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-01-25 |