| NPI | 1154737195 |
|---|---|
| Former Name | CASEY MARIE DEDEUGD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: TX U0841) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: NC 2019-01093) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-10-20 |