NPI | 1891276770 |
---|---|
Former Name | CAROLINE E BASSETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: CA 55829) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: CO PA.0007368) |
Enumeration Date | 2018-08-28 |
Last Update Date | 2022-08-31 |