| NPI | 1053418384 |
|---|---|
| Former Name | ALLISON SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: VA 0110002145) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2010-10-01 |