| NPI | 1801224555 |
|---|---|
| Former Name | CASSIE MARIE KELSO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MA RN2275208) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA RN2275208) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2020-11-23 |