NPI | 1073068631 |
---|---|
Former Name | BRITTANY LAUREN SMITHSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: GA 8028) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 2991) |
Enumeration Date | 2016-08-23 |
Last Update Date | 2022-11-22 |