| 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 |