| NPI | 1679648646 |
|---|---|
| Former Name | KIMBERLEY YVETTE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: NJ MA079203) |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2020-03-05 |