NPI | 1205230182 |
---|---|
Former Name | CASSANDRA CHERY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 406112) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 744800) |
164W00000X Licensed Practical Nurse (Licence: NY 318569-1) | |
164W00000X Licensed Practical Nurse (Licence: NJ 26NP07167800) | |
Enumeration Date | 2014-10-21 |
Last Update Date | 2024-07-02 |