NPI | 1518230929 |
---|---|
Other Name | CASEY MICHELLE DEMENT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2012005135) |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-02-15 |
Last Update Date | 2024-03-07 |