| NPI | 1760886972 |
|---|---|
| Former Name | CASEY LEE PASS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL ARNP9203695) |
| Additional Taxonomies | 363LX0106X Nurse Practitioner, Occupational Health (Licence: FL ARNP9203695) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2021-05-27 |