| NPI | 1316411481 |
|---|---|
| Former Name | CASSANDRA DESJARDINS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: MA RN2312573) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2312573) |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2022-06-02 |