NPI | 1982480281 |
---|---|
Former Name | KASEN MARIE BRAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2023-09-04 |
Last Update Date | 2024-05-21 |