| NPI | 1619244480 |
|---|---|
| Former Name | DONNA LEE CASTELLI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95001697) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TN APN0000016229) |
| Enumeration Date | 2011-11-22 |
| Last Update Date | 2016-05-03 |