| NPI | 1740595354 |
|---|---|
| Former Name | ERICA LYN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO PA.0003011) |
| Enumeration Date | 2010-08-09 |
| Last Update Date | 2024-09-22 |