| NPI | 1992331573 |
|---|---|
| Former Name | KRYSTAL NICOLE RICHARD SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0104280-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-146984) |
| Enumeration Date | 2020-03-16 |
| Last Update Date | 2025-08-04 |