NPI | 1699842021 |
---|---|
Other Name | MARLO SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-1898) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: FL PA9102903) |
Enumeration Date | 2006-11-29 |
Last Update Date | 2024-08-20 |