NPI | 1346791019 |
---|---|
Former Name | KASSANDRA JEAN WILLIAMS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 208M00000X Hospitalist (Licence: NC 0010-09047) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: NC 0010-09047) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2024-10-11 |