NPI | 1528439643 |
---|---|
Former Name | CASSANDRA PIPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 2870) |
Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: TN 2870) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2020-01-13 |