NPI | 1891202339 |
---|---|
Former Name | CASSIE E YANO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017013542) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KS 77738) |
Enumeration Date | 2018-01-05 |
Last Update Date | 2018-01-23 |