NPI | 1477083665 |
---|---|
Former Name | CASSANDRA CRAIGIE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MI 5601008261) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: IN 10004365A) |
Enumeration Date | 2017-06-19 |
Last Update Date | 2024-04-30 |