| NPI | 1629557111 |
|---|---|
| Former Name | CASSIDI ANN UDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2025011376) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA059985) |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2025-11-03 |