| NPI | 1366046682 |
|---|---|
| Former Name | CASSANDRA RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R212921) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024187352) |
| Enumeration Date | 2020-11-27 |
| Last Update Date | 2024-01-15 |