| NPI | 1578723243 |
|---|---|
| Former Name | JESSIE LYNNE CASSADA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: TX S9219) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NE 25277) |
| 207L00000X Anesthesiology (Licence: FL ME125045) | |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2021-04-08 |