NPI | 1356733067 |
---|---|
Former Name | LISA A CASS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP014375) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: PA SP014375) |
Enumeration Date | 2015-03-04 |
Last Update Date | 2022-01-25 |