| NPI | 1578813093 |
|---|---|
| Former Name | CASSANDRA MARIE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: KY PA2346) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY TC691) |
| 363A00000X Physician Assistant (Licence: FL PA9106776) | |
| 363AM0700X Physician Assistant, Medical (Licence: KY PA2346) | |
| 363AS0400X Physician Assistant, Surgical (Licence: KY PA2346) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2020-08-17 |