| NPI | 1043590763 |
|---|---|
| Former Name | JENNIFER BANNER CASSISI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9183739) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN9183739) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2024-09-17 |