| NPI | 1154084853 |
|---|---|
| Former Name | CASEY RANDAZZO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2643) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2222983) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 2222983) | |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2021-12-03 |