| NPI | 1851673404 |
|---|---|
| Former Name | DEBORA M SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA PA21794) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA PA21794) |
| Enumeration Date | 2011-09-09 |
| Last Update Date | 2022-04-08 |