NPI | 1700358025 |
---|---|
Former Name | CASSANDRA MARIE BROWN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2018012101) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2018012101) |
Enumeration Date | 2018-12-27 |
Last Update Date | 2022-05-09 |