| NPI | 1265437594 |
|---|---|
| Former Name | TAMARA KAY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0062664) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA MD421711) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2019-08-26 |