NPI | 1275174377 |
---|---|
Former Name | CASSANDRA LYNN SEIFERT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R227666) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 104695) |
Enumeration Date | 2019-10-01 |
Last Update Date | 2023-08-23 |