| NPI | 1326396243 |
|---|---|
| Former Name | CASSANDRA C KOTTEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ND PAC0611) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MN 11233) |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2015-12-31 |