| NPI | 1295303261 |
|---|---|
| Other Name | KIA A SMALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: FL APRN11011794) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: FL aprn11011794) |
| Enumeration Date | 2021-06-15 |
| Last Update Date | 2024-08-30 |