| NPI | 1497738413 |
|---|---|
| Former Name | TRACY ALETTA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: GA 000763) |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: GA POD000763) |
| 213ER0200X Podiatrist, Radiology (Licence: GA POD000763) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: GA POD000763) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD000763) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: GA POD000763) | |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2021-02-08 |