| NPI | 1972812261 |
|---|---|
| Former Name | MEGAN BROOKE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OR PA152810) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: OR PA152810) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2024-04-15 |