NPI | 1750723011 |
---|---|
Former Name | TRACY LEE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine (Licence: CA 23338) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 23338) |
Enumeration Date | 2013-07-26 |
Last Update Date | 2025-03-20 |