| NPI | 1336228246 |
|---|---|
| Former Name | CASSANDRA L BOSTOW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: ND PAC0357) |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: MN 10529) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2022-03-30 |