| NPI | 1922848662 | 
|---|---|
| Former Name | SARA SMITH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 308015)  | 
| Additional Taxonomies | 163WN0800X Registered Nurse, Neuroscience (Licence: AZ RN215739)  | 
| Enumeration Date | 2024-05-30 | 
| Last Update Date | 2025-05-22 |