NPI | 1427512748 |
---|---|
Former Name | ANNE CASEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MO 2018041372) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MO 2018041372) |
Enumeration Date | 2019-01-31 |
Last Update Date | 2025-02-03 |