| NPI | 1215208871 |
|---|---|
| Former Name | TRACY L SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111328) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A116519) |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2019-12-10 |