NPI | 1124791108 |
---|---|
Professional Name | KIMBERLY SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0003813-C-NP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 010000) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71011556A) | |
Enumeration Date | 2021-07-27 |
Last Update Date | 2023-07-07 |