| NPI | 1972708923 |
|---|---|
| Former Name | KASIE D ELAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NV APRN000948) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX 625958) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2022-01-17 |