NPI | 1023763307 |
---|---|
Former Name | CASSANDRA ROSE BILLBURG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: FL 11017823) |
Enumeration Date | 2022-02-15 |
Last Update Date | 2022-02-15 |