| NPI | 1306142047 |
|---|---|
| Former Name | MEGAN ANGELA SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-02747) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NE 0010-02747) |
| 363AM0700X Physician Assistant, Medical (Licence: NC 0010-02747) | |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2020-10-28 |