| NPI | 1043822844 |
|---|---|
| Former Name | KELSEY M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: IN 71010297A) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 28217231A) |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: IN 71010297A) | |
| Enumeration Date | 2020-08-21 |
| Last Update Date | 2021-12-15 |