| NPI | 1992141667 |
|---|---|
| Former Name | CASSIE M VIDONISH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH APRN.CNP.14698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH RN.333071) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2020-09-10 |