| NPI | 1427313097 |
|---|---|
| Former Name | TONYA R SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 6194) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F337439-1) |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2023-11-20 |