NPI | 1043619117 |
---|---|
Former Name | ALLISON MARIE CASSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KY 3008831) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71014999A) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2024-03-25 |