| NPI | 1679183909 |
|---|---|
| Former Name | SKYE SMOCK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PA2852) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2020-08-02 |
| Last Update Date | 2025-06-11 |