NPI | 1114305935 |
---|---|
Former Name | CASEY BATTE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9110390) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: GA 7507) |
Enumeration Date | 2015-05-13 |
Last Update Date | 2022-07-20 |