| NPI | 1538113279 |
|---|---|
| Former Name | CASSANDRA LOUIS WATERS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: SC 535) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA 000884) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2022-10-05 |