| NPI | 1548316169 |
|---|---|
| Former Name | KASEY JOANNE HENDERSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: WA MD.60466709) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CO 47843) |
| 2080P0207X Pediatrics, Pediatric Hematology-Oncology (Licence: TX P7144) | |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2014-09-04 |