| NPI | 1396251138 |
|---|---|
| Former Name | CASSANDRA LYNN PEREZ-RODRIGUEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WI 226643-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 226643-30) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |