| NPI | 1386486512 |
|---|---|
| Former Name | CASSANDRA DEPAUW |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 354998) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 753057) |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-08-23 |