NPI | 1467598151 |
---|---|
Former Name | DEBRA LYN CASSELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 20376) |
Additional Taxonomies | 163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: CA 498434) |
163WR0006X Registered Nurse, Registered Nurse First Assistant (Licence: OR 095006510RN) | |
Enumeration Date | 2007-01-29 |
Last Update Date | 2010-12-10 |