| NPI | 1821735549 |
|---|---|
| Former Name | KASEY WRIGHT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 209025149) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.025149) |
| Enumeration Date | 2022-05-14 |
| Last Update Date | 2022-09-13 |