NPI | 1437035516 |
---|---|
Former Name | CASSIE L RODRIQUEZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209032958) |
Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: IL 209.032958) |
Enumeration Date | 2025-08-13 |
Last Update Date | 2025-08-21 |