| NPI | 1740961069 |
|---|---|
| Former Name | CASSANDRA MARIE DUMKE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 14340-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 255675-30) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-12-07 |