NPI | 1396470837 |
---|---|
Former Name | CHLOE C SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: WI 5850) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: WI 5850) |
Enumeration Date | 2022-07-19 |
Last Update Date | 2024-02-15 |