| NPI | 1184387201 |
|---|---|
| Former Name | MASYN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO TL.0010005) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO TL.0010005) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2023-08-29 |