NPI | 1124144407 |
---|---|
Other Name | CASEY MEISTER VAN LARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 11919) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 494541) |
Enumeration Date | 2007-03-21 |
Last Update Date | 2023-10-05 |