NPI | 1023687126 |
---|---|
Former Name | CASEY LYNN ZIEGENHIRT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: KS 1502540) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2021-06-22 |
Last Update Date | 2021-10-21 |