| NPI | 1154581429 |
|---|---|
| Former Name | CASSIE MARIE THORSEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NE 110982) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CO 167820) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-10-08 |