| NPI | 1871904946 |
|---|---|
| Former Name | CASSANDRA KAY MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA12488) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0003972) |
| Enumeration Date | 2014-05-12 |
| Last Update Date | 2022-05-24 |