NPI | 1841853223 |
---|---|
Former Name | TAMARA YVETTE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MI 4704260806) |
Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: MI 4704260806) |
Enumeration Date | 2019-04-21 |
Last Update Date | 2025-06-13 |