| NPI | 1154959534 |
|---|---|
| Former Name | CASSANDRA M BORMANN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: ID M-17339) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA MD61490378) |
| Enumeration Date | 2020-03-31 |
| Last Update Date | 2023-11-21 |