NPI | 1881998565 |
---|---|
Former Name | KIMBERLY A SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3638) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 111347) |
Enumeration Date | 2011-01-10 |
Last Update Date | 2023-11-24 |