| NPI | 1659154995 |
|---|---|
| Former Name | CASSANDRA L AMDAHL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: WI 13763) |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |