| NPI | 1841528643 |
|---|---|
| Former Name | TABITHA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2323614) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 4203) |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2018-07-19 |