| NPI | 1467890657 |
|---|---|
| Former Name | CODY E BASCIANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209010451) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MO 2013012822) |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2023-05-09 |