| NPI | 1982159364 |
|---|---|
| Former Name | KAYLA MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OH 019714) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OH 5993) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2021-12-22 |