| 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 |