| NPI | 1982148284 |
|---|---|
| Former Name | LARYN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027696) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP016522) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2025-01-29 |