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 |