NPI | 1194362392 |
---|---|
Former Name | CASSIE NICOLE BRIGGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209020420) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: IL 209020420) |
Enumeration Date | 2019-12-06 |
Last Update Date | 2024-04-26 |