| NPI | 1295281541 |
|---|---|
| Former Name | MEGAN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1401) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: ID Applied For) |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2022-07-27 |