NPI | 1588043400 |
---|---|
Former Name | CASSANDRA YAMAGUCHI |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95003118) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 800684) |
Enumeration Date | 2015-05-26 |
Last Update Date | 2017-12-29 |