| NPI | 1013302082 |
|---|---|
| Other Name | TIFFANY LAURY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MS R879043) |
| Enumeration Date | 2015-04-06 |
| Last Update Date | 2020-01-07 |