| NPI | 1306532791 |
|---|---|
| Former Name | KENDRA BROOKE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CO 0998633-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 0200873) |
| Enumeration Date | 2023-04-18 |
| Last Update Date | 2023-09-25 |