| NPI | 1528526548 | 
|---|---|
| Professional Name | KISHA MESHUN SMITH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: GA NCO-000001) | 
| Additional Taxonomies | 163WI0500X Registered Nurse, Infusion Therapy (Licence: GA RN194819) | 
| 163WX0200X Registered Nurse, Oncology (Licence: GA RN194819) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA NCO-000001) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA NCO-000001) | |
| Enumeration Date | 2019-03-08 | 
| Last Update Date | 2019-03-08 |