| NPI | 1518696780 |
|---|---|
| Former Name | MANDIE GASSMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: IL 036174739) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2022-06-05 |
| Last Update Date | 2026-04-24 |