NPI | 1730569385 |
---|---|
Former Name | CASANDRA BARLETTA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-78199) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP127531) |
Enumeration Date | 2015-06-08 |
Last Update Date | 2018-09-05 |