NPI | 1548638232 |
---|---|
Former Name | BRITTANY A SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: ME PA1560) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: ME PA1560) |
363AM0700X Physician Assistant, Medical (Licence: ME PA1560) | |
Enumeration Date | 2015-09-11 |
Last Update Date | 2022-06-09 |