| NPI | 1194132712 |
|---|---|
| Former Name | TANYA L SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TN 18661) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TN APN0000018661) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2025-07-23 |