| NPI | 1356856561 |
|---|---|
| Former Name | CASSANDRA SHARONETTE WALTERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS 902422) |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine (Licence: MS 902422) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2021-09-21 |