| NPI | 1730558461 |
|---|---|
| Former Name | MASON CASTLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: AL PA.1306) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: SC 2422) |
| Enumeration Date | 2015-09-23 |
| Last Update Date | 2018-07-19 |