NPI | 1740686971 |
---|---|
Former Name | KRISTI L SMIDT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ND R31332) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R157538-5) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2022-07-21 |