NPI | 1326578089 |
---|---|
Former Name | CASSANDRA ANANDAPPA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: OH 34.014696) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: IL 125071162) |
Enumeration Date | 2017-06-15 |
Last Update Date | 2020-07-27 |