| NPI | 1073085536 |
|---|---|
| Former Name | CASSANDRA LEE CARR |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP139996) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX API139996) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2023-08-18 |