| NPI | 1992288021 |
|---|---|
| Former Name | ANNA FAITH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085009609) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2018-09-14 |
| Last Update Date | 2023-03-28 |