| NPI | 1639666852 |
|---|---|
| Former Name | JENNIFER ANN CASSADY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD61284502) |
| Additional Taxonomies | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) (Licence: WA MD61284502) |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2022-09-30 |