NPI | 1487958419 |
---|---|
Former Name | DOREEN CASAGRANDE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN128028) |
Enumeration Date | 2011-01-05 |
Last Update Date | 2024-02-20 |