| NPI | 1588017883 |
|---|---|
| Former Name | CASSANDRA LYNN WEBSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: MI 2901600750) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-06-24 |