| NPI | 1376369496 |
|---|---|
| Former Name | CASSIE LYNN PHILP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IN 10005048A) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-11-25 |
| Last Update Date | 2026-01-22 |