| NPI | 1538331921 |
|---|---|
| Former Name | CASEY LYNN EVANS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: ID PA-2000) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: OR PA150161) |
| 363A00000X Physician Assistant (Licence: WA PA60371391) | |
| 363AM0700X Physician Assistant, Medical (Licence: ID PA-2000) | |
| 363AS0400X Physician Assistant, Surgical (Licence: ID PA-2000) | |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2021-05-03 |