| 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 | 2025-04-16 |