NPI | 1720426364 |
---|---|
Former Name | CASSANDRA PESNELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX RN128389) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN128389) |
363LF0000X Nurse Practitioner, Family (Licence: AZ AP5115) | |
Enumeration Date | 2013-06-05 |
Last Update Date | 2017-01-18 |