| NPI | 1548852783 |
|---|---|
| Former Name | NICOLE KAHEALANI CASADONA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SC 3873) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: SC 3873) |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2023-06-26 |