| NPI | 1003997925 |
|---|---|
| Former Name | LISA M CASEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2005022710) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MO 2005022710) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2024-10-03 |