| NPI | 1225570286 |
|---|---|
| Former Name | CASSANDRA L REAKA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: IL 209015116) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IL 277001899) |
| 363L00000X Nurse Practitioner (Licence: CO APN.0998651-NP) | |
| 363L00000X Nurse Practitioner (Licence: OR 202207763NP-PP) | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2025-09-14 |