NPI | 1689074619 |
---|---|
Former Name | MABEL E CASAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95002376) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP5745) |
Enumeration Date | 2014-08-27 |
Last Update Date | 2019-08-21 |