| NPI | 1770039828 |
|---|---|
| Former Name | KRISTEN J SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: CA 95005492) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000210235) |
| 363L00000X Nurse Practitioner (Licence: CA 95005492) | |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2020-10-23 |