| NPI | 1619651338 |
|---|---|
| Former Name | CASSADY J HOLLERBUSH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP027701) |
| Enumeration Date | 2023-06-13 |
| Last Update Date | 2024-12-12 |