| NPI | 1760940761 |
|---|---|
| Former Name | CASEY BRIANNA GRIFFIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 28388) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 216951) |
| 163W00000X Registered Nurse (Licence: GA RN257763) | |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2020-11-17 |