| NPI | 1659448215 |
|---|---|
| Former Name | CASEY R HANNA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA052529) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA OA000909) |
| 363AM0700X Physician Assistant, Medical (Licence: PA MA052529) | |
| 363AS0400X Physician Assistant, Surgical (Licence: PA MA052529) | |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2024-01-25 |