| 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 | 2026-05-26 |