NPI | 1184988800 |
---|---|
Former Name | VANESSA ANNTOINETTE CASCIO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CA PA22354) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA22354) |
Enumeration Date | 2012-06-27 |
Last Update Date | 2021-02-08 |