NPI | 1518752591 |
---|---|
Former Name | CASSANDRA WILSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: TN 214127) |
Additional Taxonomies | 174H00000X Health Educator |
Enumeration Date | 2025-04-10 |
Last Update Date | 2025-04-10 |