NPI | 1518396704 |
---|---|
Former Name | CASSANDRA LYNN BYERS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA056471) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: PA OA003147) |
Enumeration Date | 2013-11-07 |
Last Update Date | 2015-12-10 |