| NPI | 1629473889 |
|---|---|
| Former Name | CASEY DANIELLE NORRIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TN 3165) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: VA 0110004757) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2020-04-14 |