| NPI | 1366543316 |
|---|---|
| Former Name | TAMMY V SMALT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024181135) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F302247-1) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302247-1) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F302247-1) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F302247-1) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2022-03-02 |