NPI | 1013454578 |
---|---|
Former Name | CASSANDRA LYNN JUNE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KY 4044620) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 341312) |
Enumeration Date | 2017-01-23 |
Last Update Date | 2025-08-19 |