| NPI | 1104570738 |
|---|---|
| Former Name | MARY M CASE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MS PA00637) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MS PA00637) |
| Enumeration Date | 2022-02-11 |
| Last Update Date | 2023-05-10 |