NPI | 1477980464 |
---|---|
Former Name | CASSANDRA BUCHANAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R36290) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R36290) |
Enumeration Date | 2013-10-04 |
Last Update Date | 2022-05-05 |