| NPI | 1184905754 |
|---|---|
| Former Name | COURTNEY JANE SMITH MEYER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9118264) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-03081) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-03081) | |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2024-04-18 |