NPI | 1609159987 |
---|---|
Former Name | JESSICA M SMITHEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: OH 50.003387) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.003387) |
Enumeration Date | 2011-09-23 |
Last Update Date | 2022-01-25 |