| NPI | 1972944437 |
|---|---|
| Former Name | KATHERINE ANN SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA OA003068) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA MA056286) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2022-04-28 |