| NPI | 1740685908 |
|---|---|
| Former Name | JILLIAN MAGEE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ME PAN1949) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: MA NU3720) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2021-12-28 |