| NPI | 1760796551 |
|---|---|
| Former Name | CASSANDRA R DESMOND |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 12.010920) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2259179) |
| 363L00000X Nurse Practitioner (Licence: MA RN2259179) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2259179) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 12.010920) | |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2022-11-29 |