NPI | 1366552846 |
---|---|
Former Name | KRISTI L SMITH DAMAI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 2678) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 120605) |
Enumeration Date | 2006-08-30 |
Last Update Date | 2010-11-17 |