| NPI | 1558092700 |
|---|---|
| Former Name | HANNAH JO CASTOR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: TN 5062) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: TN 5062) |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2022-06-20 |