| NPI | 1851609424 |
|---|---|
| Former Name | KIMBERLY ANN CASPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: AZ 4719) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA055465) |
| Enumeration Date | 2010-09-17 |
| Last Update Date | 2021-03-05 |