| NPI | 1477985190 |
|---|---|
| Former Name | MAUREEN E. CASSIDY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-76139) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 13-105105) |
| Enumeration Date | 2013-08-05 |
| Last Update Date | 2023-10-12 |