NPI | 1013995695 |
---|---|
Former Name | VICTORIA I CASSEL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA A080470) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ 224241) |
363LF0000X Nurse Practitioner Family (Licence: IA A080470) | |
363LF0000X Nurse Practitioner Family (Licence: IL 209002522) | |
Enumeration Date | 2006-01-04 |
Last Update Date | 2023-03-10 |