NPI | 1083081764 |
---|---|
Former Name | LISA CASAGRANDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WL0100X Registered Nurse Lactation Consultant (Licence: OK 11245984) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OK R118458) |
163WX0003X Registered Nurse Obstetric, Inpatient (Licence: OK FIS1-0436-5673) | |
Enumeration Date | 2015-08-28 |
Last Update Date | 2015-08-28 |