| NPI | 1255374690 |
|---|---|
| Former Name | KATHRYN JEAN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA NP14520) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN495632) |
| 363A00000X Physician Assistant (Licence: CA PA17233) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2019-12-20 |