NPI | 1386896520 |
---|---|
Former Name | KATHERINE ANN CASSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: IA 002042) |
Enumeration Date | 2008-10-21 |
Last Update Date | 2010-11-05 |