| NPI | 1326514845 |
|---|---|
| Former Name | JESSICA RAE KASSAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: VA 0024176773) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: VA 0024176773) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2021-07-29 |