| NPI | 1336834829 |
|---|---|
| Former Name | CASEY CHARLN LANDRENEAU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: LA 351499) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2026-07-24 |