| NPI | 1922437342 |
|---|---|
| Former Name | JORDAN LYNNE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 028207) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA056644) |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2023-09-23 |