| NPI | 1225570286 |
|---|---|
| Former Name | CASSANDRA L WIBLE |
| 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) |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2023-12-29 |