| NPI | 1063840957 |
|---|---|
| Former Name | KRISTY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP124550) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 705408) |
| Enumeration Date | 2013-10-31 |
| Last Update Date | 2021-09-29 |