NPI | 1184209645 |
---|---|
Other Name | CASSANDRA BOSSERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IL 1184209645) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209022305) |
Enumeration Date | 2021-03-16 |
Last Update Date | 2024-04-18 |