NPI | 1417130089 |
---|---|
Former Name | ANNETTE BONNIE CASWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: ME CNP101009) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9263967) |
363LF0000X Nurse Practitioner, Family (Licence: ME AP101009) | |
Enumeration Date | 2007-12-06 |
Last Update Date | 2014-10-17 |