| NPI | 1255737433 |
|---|---|
| Former Name | MARY ANNE CASSIANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.012185) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: IL 041.287085) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2022-07-21 |