| NPI | 1902293004 |
|---|---|
| Former Name | CASEY MOSER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MO 2016020646) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: IL 085005404) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2019-08-13 |