NPI | 1346559697 |
---|---|
Former Name | LINDSAY MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MA PA5896) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 2495) |
Enumeration Date | 2010-10-05 |
Last Update Date | 2018-12-10 |