| NPI | 1699037119 |
|---|---|
| Former Name | KIMBERLY NICOLE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN 12475) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024170091) |
| 367A00000X Advanced Practice Midwife (Licence: MN 619) | |
| 367A00000X Advanced Practice Midwife (Licence: VA 0024170091) | |
| Enumeration Date | 2012-06-11 |
| Last Update Date | 2025-07-01 |