NPI | 1073155131 |
---|---|
Former Name | CASSANDRA DAWN BENDER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10002966A) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: OH 50.006131RX) |
Enumeration Date | 2019-10-10 |
Last Update Date | 2022-12-14 |