| NPI | 1356606479 |
|---|---|
| Former Name | CASEY LYNN MILLER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA055525) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA055525) |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2022-03-18 |