| NPI | 1538438239 |
|---|---|
| Former Name | CASIE MICHELLE SANDERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3019) |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363AM0700X Physician Assistant, Medical (Licence: TN PA3019) | |
| 363AS0400X Physician Assistant, Surgical | |
| 363AS0400X Physician Assistant, Surgical (Licence: TN 3019) | |
| Enumeration Date | 2011-12-26 |
| Last Update Date | 2018-10-22 |