| NPI | 1952704850 |
|---|---|
| Former Name | TIFFANY SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN APN19065) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 161014) |
| 363L00000X Nurse Practitioner (Licence: TN 19065) | |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2020-09-28 |