| NPI | 1669733838 |
|---|---|
| Former Name | KIMBERLY BLOCK SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO APN.0998307-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R868155) |
| 363LF0000X Nurse Practitioner, Family (Licence: TN 16683) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0000864) | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2023-10-18 |