| NPI | 1013296490 |
|---|---|
| Former Name | MARIE GAIL CASSELBERRY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201250123NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250123NP) |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2018-12-28 |