| NPI | 1952107484 |
|---|---|
| Former Name | KIMBERLY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 13078) |
| Additional Taxonomies | 163WF0300X Registered Nurse, Flight (Licence: MN 7061619) |
| 146L00000X Emergency Medical Technician, Paramedic (Licence: MN 952312) | |
| 163W00000X Registered Nurse (Licence: MN 2489796) | |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2025-09-10 |