| NPI | 1942737903 |
|---|---|
| Former Name | MEGHAN JANE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 4009) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-07581) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-05-20 |
| Last Update Date | 2021-09-13 |