| NPI | 1114403102 |
|---|---|
| Former Name | CASSANDRA M COOK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 8621-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 195907-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: MI 4704345763) | |
| Enumeration Date | 2018-07-13 |
| Last Update Date | 2019-12-30 |