NPI | 1578038055 |
---|---|
Former Name | CASEY DIANE SEHLIN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 343708) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 664090-1) |
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 343708) | |
Enumeration Date | 2018-10-10 |
Last Update Date | 2023-06-30 |