| NPI | 1972973113 |
|---|---|
| Former Name | CASSIDY CHATHAM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV APRN002586) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: AZ TAP8189) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP8190) | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2018-03-17 |