| NPI | 1982597845 |
|---|---|
| Former Name | CASSIOPEIA TULK, BLY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IA A184689) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A184689) |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-11-10 |