| NPI | 1679074132 |
|---|---|
| Former Name | CASSANDRA LEE CZARNETZKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208600000X Surgery (Licence: OK 6637) |
| Additional Taxonomies | 207P00000X Emergency Medicine (Licence: OK 6637) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-12-19 |