| NPI | 1457473548 |
|---|---|
| Former Name | KRISTA MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: MI 4301088141) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 4301088141) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-05-03 |