NPI | 1508058017 |
---|---|
Former Name | CASSANDRA PLUMMER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MI EMC0001780) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: NC 2021-00649) |
207Q00000X Family Medicine (Licence: LA 204008) | |
207Q00000X Family Medicine (Licence: KY C0586) | |
Enumeration Date | 2007-08-17 |
Last Update Date | 2025-07-31 |