NPI | 1063480986 |
---|---|
Former Name | KASEY DRAPEAU |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CA 16909) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CA 16909) |
Enumeration Date | 2006-03-08 |
Last Update Date | 2010-06-18 |