| NPI | 1386989549 |
|---|---|
| Former Name | CASEY THORP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: IL 085.004576) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MO 2015001940) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2022-01-14 |