| NPI | 1376900084 |
|---|---|
| Former Name | KATHERINE SMYTH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: FL PA9109329) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: FL PA9109329) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2022-08-22 |