| NPI | 1952376923 |
|---|---|
| Former Name | KRISTEN A. MINNICK-SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP2657) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: PA RN254159L) |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-03-07 |