| NPI | 1861137838 |
|---|---|
| Former Name | TAMMY MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: ME RN56839) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: ME RN56839) |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |